Conflicting Opinions From 5 Surgeons. How to Get Perky C in My Case? (photo)
- Asked by Sea 24
- 1 year ago
I am confused by conflicting opinions from Doctors over my sagging boobs. I'm 5' 3", 118#'s, mother of 2, age 40. I've always had asymetrical breasts, now they are deflated after nursing two children and undergoing multiple biopsy's after discovering micro-calcifications in my breasts two years ago. Two areas of conflicting opinions: Area 1 Breast Lift, Area 2: Size I want Mentor Moderate Plus Silicone implants under the muscle. How can I end up with a Perky set of "C's" without a lift?
Our vote: implants alone
You will see from this site that cosmetic surgery is art and aesthetics, and multiple opinions are the rule. In our practice you look like a typical breast augmentation candidate and we would not hesitate to put you into submuscular gel implants without a lift. Size is an individual choice (with limits) so make sure you show your surgeon just how you wish to look.
Web reference: http://www.peterejohnsonmd.com
I would recommend a peri-areolar mastopexy or lift with moderate plus gel implants. It should look quite perky and good with an appropriate sized implant.
Web reference: http://www.drrickrosen.com/breast-augmentation-connecticut/
Breast Asymmetry - Conflicting opinions
Thank you for posting your Qs with your photos. You have deflated breasts with moderate asymmetry. If your goal is for a perky C with good symmetry then I would recommend an implant with peri-areolar uplift. Implant alone would require different size implants and improve the breast fullness and shape but not achieve perfect symmetry. You need to take into account that you are trading some degree of asymmetry (which is common) with surgical scars which are permanent. You should discuss with your Plastic Surgeon your aims and all of the options. Good luck
Recent Breast Augmentation Reviews
Breast Augmentation Photos
The fact that you have received so many different opinions means that there might not be a best answer for you. I would select a surgeon that you are comfortable with in regards to bedside manner, reputation, and surgical skills.
In my hands, I will give you my best result with a breast augmentation with peri-areolar lift. You have much more loose skin on your left breast that will need a more aggressive lift to achieve balance.
I wish you a safe and healthy procedure!!
Web reference: http://www.drpaulgill.com
Your posted photos show significant asymmetry with the right breast smaller than the left, the left nipple lower than the right and a different distribution of breast tissue under the nipples on the right vs. the left. You can call it a lift or adjunctive breast surgery procedures or whatever else you want to call it but you will need to do something to the breasts besides stick implants in them. If you only augment them (even if you use a larger implant on the right) you will still magnify the asymmetry and most likely will not be happy with the result. It is much better to first do some procedures to the breast to make them more similar (adjust nipple position and breast tissue distribution under the nipples) and then insert breast implants (at the same operation). You will be much happier if you do it that way.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
Different opinions tell you that there is no absolutely right answer
Looking at your photos, it reminds me how sometimes in plastic surgery, there is no absolutely one right answer for a particular problem. All of the opinions that you have gotten are not wrong and there is not one answer that is particularly perfect for your breasts.
You have asymmetry. Most women have one breast that is a little different than the other. Implants will get you to the size that you want. A lift will give you the most symmetry that you can achieve. If you just get breast implants, you will have the exactly the same amount of asymmetry that you have that will carry over to your results. It makes sense since, the implants are the same size and shape and the only differences that you will see in between your breasts are the differences that you started out with.
The left breast is a bit droopier than the other but both breasts have some amount of droop. A lift will correct this but it will not make them look absolutely the same. One breast will always be a little different than the other.
So, I would recommend breast augmentation with silicone implants under the muscle with a periareolar lift (donut lift) with more skin removal (lift) on the left than the right for maximum chance at symmetry.
Conflicting opinions on augment/pexy
The more people you ask the more opinions you will get. Surgery can be as much an art as a science. Different surgeons can get to the same place with different techniques. There are no guarantees. Do not choose your surgeon by how they will get you where you want to be, or by trying to tell them how to do the operation.
Choose the surgeon you have confidence in and you feel understands your goals. If you cannot get what you desire with the scars you want then you either have to consider the scar pattern recommended but the surgeon or accept that you will not get the results you desire and surgery may not be for you. In the end remember that the results will change over time.
Breast lift/augmentation after children
In your specific instance, a breast lift around the nipple combined with a modest "under the muscle" breast augmentation will probably accomplish your goals. I don't think an augmentation alone would give you a look you'd like, because your left breast would "fall off" the implant with time.
Hope this helps,
Conflicting Opinions From 5 Surgeon
You can help the surgeon you eventually choose by thinking about these three things.
- What size do you want to be?
- How important is it for the breasts to be even?
- How important is it for the nipples and areolae to be even?
The first question is easiest, and you seem to have an idea of what you want in size, though what you think a C is may be quite different from the thoughts of your surgeon or the bra manufacturer--there are no standards by which cup size is defined. I find having patients try on implants is valuable, especially where there is asymmetry. You may find that you need a larger implant in the smaller side. Your surgeon can then help choose the best profile by matching the width of the implant to the width of your breast.
If it is important to you that the nipples are even and that the breast shapes are as close to each other as possible, and breast lift should be considered for the left side. There is more breast skin and tissue, and implants alone will not equalize them. Nor will implants alone equalize the nipples and areolae. If both breasts looked like the right one, no one would be talking breast lift. If both looked like the left one, a lift would be a consideration, but not a"must-do" as it can be for some women considering augmentation. However, because of the asymmetry, only a lift can make your breast look more even. Implants alone often magnify the appearance of asymmetry.
Thank you for the question, and for the attached photos, and best wishes.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.